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See a sample rate comparisonCPT 99448 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ntrprof Ph1 Ntrnet Ehr 21 30, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 21 30 Minutes Of Medical Consultative Discussion And Review
| Key Fact | Detail |
|---|---|
| Service Type | Evaluation and Management Non-Face-to-Face Services |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 99 - Other POS |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | $56.78 national non-facility rate (2026) · View Medicare rates for 99448 |
| Medicaid Fee Schedule | $45.165 median of the 8 states in the free preview · View Medicaid rates for 99448 |
National average reimbursement for CPT 99448 by major payers:
$76.26
$64.80
$58.68
$99.00
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CPT 99448
5 of 25 sample ratesHigher to lower in this preview
Katherine Darci
Mass General Brigham Incorporated
$265.04Published rateMichelle Lock
Pediatric Associates Of Medford P.C.
$138.89Published rateJessica Rome
Pediatric Associates Of Fall River, Inc.
$87.66Published rateAlexandra Evindar
Heywood Medical Group Inc
$60.63Published rateRuben Tenorio
Ruben L. Tenorio, Jr., D.O.
$46.27Published rate
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See a sample payer proposalCPT 99448 vs. Other Non-Face-to-Face Services Codes
The CPT 99448 code is part of the Evaluation and Management services used for Non-Face-to-Face Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 99448 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 99447-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 11 20, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 11 20 Minutes Of Medical Consultative Discussion And Review |
| 99448-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 21 30, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 21 30 Minutes Of Medical Consultative Discussion And Review |
| 99449-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 31, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Verbal And Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 31 Minutes Or More Of Medical Consultative Discussion And Review |
| 99451-CPT | Low | Ntrprof Ph1 Ntrnet Ehr 5, Interprofessional Telephone Internet Electronic Health Record Assessment And Management Service Provided By A Consultative Physician Or Other Qualified Health Care Professional Including A Written Report To The Patient S Treating Requesting Physician Or Other Qualified Health Care Professional 5 Minutes Or More Of Medical Consultative Time |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99448. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99448 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To estimate the cost of a medical procedure, you can start by contacting your healthcare provider's billing department for an estimate. You should also reach out to your insurance company to understand what portion they will cover, your deductible status, and any out-of-pocket maximums. For specific price comparisons based on CPT codes and your location, you can utilize tools like Payerprice, which offers a fee schedule lookup to help you understand potential costs.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by medical professionals to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for understanding medical costs because they provide a universal language for billing, allowing you to identify the specific services you are being charged for and to compare prices accurately across different providers or fee schedules.
Fee schedules provide the maximum allowable amount that an insurance company will pay for a specific medical service or procedure. For detailed information on fee schedules for specific medical services, especially when looking up prices by CPT code and location, you can use specialized tools. Payerprice, for example, offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to find relevant pricing information.
No, insurance does not typically cover all medical procedures. Coverage depends on your specific plan, whether the procedure is deemed medically necessary, and if it's an in-network or out-of-network service. To check your coverage, you should contact your insurance provider directly. They can provide details on what services are covered, any pre-authorization requirements, your deductible, co-pays, and co-insurance amounts, and your out-of-pocket maximum.
These are common terms related to your out-of-pocket medical expenses: * **Co-pay (or Copayment):** A fixed amount you pay for a covered health care service after you've paid your deductible. For example, you might pay $30 for a doctor's visit. * **Deductible:** The amount you must pay for covered health care services before your insurance plan starts to pay. For example, if your deductible is $1,000, your plan won't pay for anything until you've paid $1,000 out-of-pocket for covered services. * **Co-insurance:** Your share of the cost of a covered health care service, calculated as a percentage (for example, 20%) of the allowed amount for the service, after you've met your deductible. If your co-insurance is 20%, your insurance company pays 80%. These amounts do not typically count towards your co-pay.
Comparing prices for medical services can help you make informed decisions and manage costs. You can often get estimates directly from healthcare providers or through your insurance company. However, for a more direct comparison of fee schedules for specific services identified by CPT codes and tailored to your location, specialized platforms are available. Payerprice provides a fee schedule lookup tool where you can search with CPT codes and specific locations to compare potential costs.